A parent of a child with cystic fibrosis (CF) is concerned about the child's digestive health.
The parent asks, "How does CF affect the pancreas?" Which of the following statements by the nurse is accurate?
"CF leads to excessive production of digestive enzymes in the pancreas.”
"CF has no impact on the function of the pancreas.”
"CF impairs the pancreas's ability to produce digestive enzymes.”
"CF causes the pancreas to produce excessive insulin.”
The Correct Answer is C
Choice A rationale:
"CF leads to excessive production of digestive enzymes in the pancreas.”.
This statement is not accurate.
In fact, CF impairs the production of digestive enzymes in the pancreas.
The thick mucus produced in CF can block the pancreatic ducts, preventing the release of enzymes needed for proper digestion.
Choice B rationale:
"CF has no impact on the function of the pancreas.”.
This statement is incorrect.
CF significantly affects the function of the pancreas by obstructing the pancreatic ducts and impairing the production of digestive enzymes.
Choice C rationale:
"CF impairs the pancreas's ability to produce digestive enzymes.”.
This statement is accurate.
CF causes the thick and sticky mucus to accumulate in the pancreas, obstructing the release of digestive enzymes, which are essential for the digestion of fats and proteins.
Choice D rationale:
"CF causes the pancreas to produce excessive insulin.”.
This statement is not correct.
CF does not lead to excessive insulin production.
Instead, it primarily affects the production of digestive enzymes and can lead to issues related to fat malabsorption.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D"]
Explanation
Administer respiratory treatments, including chest physiotherapy.
C. Emphasize the importance of hand hygiene.
D. Provide psychological counseling and support.
Choice A rationale:
Administering respiratory treatments, including chest physiotherapy, is essential in managing cystic fibrosis in children.
Cystic fibrosis often results in thick, sticky mucus in the lungs, making it difficult to clear airway secretions.
Chest physiotherapy helps loosen and mobilize these secretions, improving lung function and reducing the risk of respiratory infections.
Choice B rationale:
Encouraging a low-calorie, low-protein diet is not an appropriate intervention for managing cystic fibrosis in children.
Children with cystic fibrosis typically have increased nutritional needs due to malabsorption of nutrients, and a low-calorie, low-protein diet could exacerbate their nutritional deficiencies and growth issues.
Choice C rationale:
Emphasizing the importance of hand hygiene is a crucial nursing intervention for managing cystic fibrosis in children.
Cystic fibrosis patients are more susceptible to respiratory infections, and good hand hygiene helps prevent the spread of infections, which is especially important in a healthcare setting.
Choice D rationale:
Providing psychological counseling and support is essential for children with cystic fibrosis.
The chronic nature of the disease, frequent hospitalizations, and daily treatments can take a toll on a child's mental health.
Psychological support helps them cope with the emotional challenges and stress associated with their condition.
Choice E rationale:
Avoiding exercise and physical activity is not an appropriate intervention for managing cystic fibrosis in children.
Physical activity is beneficial for maintaining lung function and overall health in individuals with cystic fibrosis.
It helps improve airway clearance and strengthen respiratory muscles.
Correct Answer is A
Explanation
"You'll need to take bronchodilators as prescribed.”.
Choice A rationale:
Bronchodilators are commonly prescribed to children with cystic fibrosis to help open airways, making it easier for them to breathe.
These medications assist in relieving airway constriction and improving respiratory function.
Choice B rationale:
Stating that "antibiotics are unnecessary for cystic fibrosis" is incorrect.
Antibiotics are often required for cystic fibrosis patients to treat and prevent respiratory infections, which are common due to the thick mucus buildup in the airways.
Choice C rationale:
Mucolytics are medications that help thin and mobilize mucus in the airways.
Advising the child to "avoid mucolytics" is not appropriate, as these drugs can be beneficial in managing cystic fibrosis by facilitating mucus clearance and reducing the risk of lung infections.
Choice D rationale:
Telling the child to "skip the medications; they won't help" is incorrect and potentially dangerous advice.
Medications prescribed for cystic fibrosis are essential for managing the disease, and skipping them can lead to worsened symptoms and complications.
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